Pickett Care and Rehabilitation Center
Nursing Home, Memory Care, Palliative Care & Respite Care · Byrdstown, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Pickett Care and Rehabilitation Center

Nursing Home, Memory Care, Palliative Care & Respite Care · Byrdstown, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Pickett Care and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Pickett Care and Rehabilitation Center

Pickett Care and Rehabilitation Center is located in Byrdstown, TN. It offers a variety of clinical services, rehabilitation, and life enrichment programs to enhance the quality of life for its residents. The facility is committed to providing personalized care and support to meet the needs of each individual.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 43m per day
Rank #61 / 192Nurse hours — State benchmarkedThis home is ranked 61st out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +108% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 34m per day ▼ 9% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 8m per day ▲ 4% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 51m per day ▼ 14% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 54m per day ▼ 14% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 10m per day ▲ 108% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 27m per day ▲ 12% State avg: 24m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
125 days
Bed community size
69-bed community Rank #258 / 426Bed count — State benchmarkedThis home is ranked 258th out of 426 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
33 years in operation Rank #67 / 385Years in operation — State benchmarkedThis home is ranked 67th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 14 / 100 Rank #426 / 553Walk Score — State benchmarkedThis home is ranked 426th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
83%
Rank #114 / 319Occupancy rate — State benchmarkedThis home is ranked 114th out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Tennessee average: 71.6%
Occupied beds
57 / 69
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000202
CMS Certification Number445390

Ownership & Operating Entity

Pickett Care and Rehabilitation Center is administered by Noah Foster.

Owner NameLP Byrdstown, LLC

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Amenities & Lifestyle

Complimentary Transportation For Physician Appointments
24-Hour Pharmacy
Tvs And Satellite/Cable In Every Room
Annual Hall Of Fame Café Event
Quality Of Life Program
Full Time Chaplain
Multi-Denominational Weekly Religious Services
Facility-Wide Wifi™
Onsite Podiatry
Dental And Optometry Services
Restaurant Style Dining
Facility Van
Beauty Shop
Private Rooms Available
Volunteer Program
24-Hour Visitation
Bereavement Accommodations
Specific ProgramsClinical Services, Care Navigation
Religious Services
Volunteer Program
Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Contact Pickett Care and Rehabilitation Center

Health Inspection History

Inspections since 2019
Total health inspections 4

State average N/A


Last Health inspection on Apr 2025

Total health citations
17 Rank #117 / 196Health citations — State benchmarkedThis home is ranked 117th out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.25 Rank #98 / 196Citations per inspection — State benchmarkedThis home is ranked 98th out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 7 years)
Administration moderate citation Apr 09, 2025
Corrected

Infection Control moderate citation Apr 09, 2025
Corrected

Nutrition moderate citation Apr 09, 2025
Corrected

Pharmacy moderate citation Apr 09, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 96
Employees 92
Contractors 4
Staff to resident ratio 1.63 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 22,833

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 19 LPN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 36 CNA Staff are full-time employees. No contractors work on this role. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.3%

72 contractor hours this quarter

Occupational Therapy Assistant: 3 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant360369,31292100%8.7
Licensed Practical Nurse190194,31492100%8.3
Registered Nurse6061,9299199%10.8
RN Director of Nursing4041,6306975%8.1
Respiratory Therapy Technician3039136773%7.9
Other Dietary Services Staff4046278289%6.6
Clinical Nurse Specialist4045446267%7.4
Physical Therapy Assistant3035106470%7.3
Dietitian1015006470%7.8
Nurse Practitioner1014906166%8
Administrator1014886166%8
Mental Health Service Worker1014726166%7.7
Medication Aide/Technician2023573538%8.9
Qualified Social Worker2023256368%5
Physical Therapy Aide1012665257%5.1
Nurse Aide in Training1015767%9.4
Medical Director011364953%0.7
Occupational Therapy Assistant0333689%3.6
Speech Language Pathologist303311112%2.8
36 Certified Nursing Assistant
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 99%
4 RN Director of Nursing
% of Days 75%
3 Respiratory Therapy Technician
% of Days 73%
4 Other Dietary Services Staff
% of Days 89%
4 Clinical Nurse Specialist
% of Days 67%
3 Physical Therapy Assistant
% of Days 70%
1 Dietitian
% of Days 70%
1 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 66%
1 Mental Health Service Worker
% of Days 66%
2 Medication Aide/Technician
% of Days 38%
2 Qualified Social Worker
% of Days 68%
1 Physical Therapy Aide
% of Days 57%
1 Nurse Aide in Training
% of Days 7%
1 Medical Director
% of Days 53%
3 Occupational Therapy Assistant
% of Days 9%
3 Speech Language Pathologist
% of Days 12%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.8
36% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.9
29% better than State average

State average: 19.5

Long-stay resident measures
Above average State avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.0%
44% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.7%
55% better than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.9%
11% worse than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.1%
16% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.4%
17% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.6%
11% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.4%
60% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.2%
71% worse than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
11% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than State average

State average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.56
62% worse than State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.47
57% worse than State average

State average: 1.57

Short-stay resident measures
Above average State avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.1%
21% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.9%
73% worse than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
25% better than State average

State average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 15.4%
31% better than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.9%
42% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 45.5%
15% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 54.6%
8% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

42% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 59
Medicare
3
5.1% of residents
Medicaid
46
78% of residents
Private pay or other
10
16.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$442.4K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.6M Rank #162 / 196Revenue — State benchmarkedThis home is ranked 162nd out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$442.4K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$407.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #181 / 196Payroll — State benchmarkedThis home is ranked 181st out of 196 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.8M 42% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #172 / 196Payroll % — State benchmarkedThis home is ranked 172nd out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.1M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
167 total

Coverage residents most often arrive under.

Medicare 41%
Private pay 42%
Medicaid 17%
Discharges
168 total

Coverage residents most often leave under.

Medicare 27%
Private pay 40%
Medicaid 33%

Places of interest near Pickett Care and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Byrdstown's city center to Pickett Care and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Pickett Care and Rehabilitation Center

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Address

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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

Pickett Care and Rehabilitation Center
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Frequently Asked Questions about Pickett Care and Rehabilitation Center

What neighborhood is Pickett Care and Rehabilitation Center in?

Pickett Care and Rehabilitation Center is in the Middle Tennessee neighborhood of Byrdstown.

Who is the owner of Pickett Care and Rehabilitation Center?

Pickett Care and Rehabilitation Center is legally operated by LP Byrdstown, LLC, and administered by Noah Foster.

Is Pickett Care and Rehabilitation Center in a walkable area?

Pickett Care and Rehabilitation Center has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Pickett Care and Rehabilitation Center?

According to TN state health department records, Pickett Care and Rehabilitation Center's license number is 00000202.

What is the occupancy rate at Pickett Care and Rehabilitation Center?

Pickett Care and Rehabilitation Center's occupancy is 83%.

Does Pickett Care and Rehabilitation Center operate as a for-profit or non-profit?

Pickett Care and Rehabilitation Center is registered as a for-profit in TN.

Who is the administrator of Pickett Care and Rehabilitation Center?

Noah Foster is the administrator of Pickett Care and Rehabilitation Center.

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